Acta Ortopédica Mexicana

Lovato-Salas F, Luna-Pizarro D, Oliva-Ramírez SA, Flores-Lujano J, Núñez-Enríquez JC
Prevalence of hip, femur and knee fractures at the High Specialty Medical Unit, Hospital de Traumatología y Ortopedia «Lomas Verdes», Instituto Mexicano del Seguro Social
Acta Ortop Mex 2015; 29 (1)

Language: Español
References: 27
Page: 13-20
PDF: 189.97 Kb.

[Fulltext - PDF]

ABSTRACT

Background: Lower limb fractures are more frequent among older patients with osteopenia after a low energy fall and/or among young patients who sustain a high energy trauma. The prevalence of hip, femur and knee fractures at the High Specialty Medical Unit, Hospital de Traumatología y Ortopedia «Lomas Verdes» is unknown. Material and methods: Cross-sectional study, descriptive and retrospective design. Cases with low extremity fractures treated from January 1st, 2012 to December 31st, 2013 at the Hip, Femur and Knee Service, High Specialty Medical Unit, Hospital de Traumatología y Ortopedia «Lomas Verdes», were reviewed. Results: Most patients (52.2%) were females; 64.1% of patients were over 60 years of age. Fracture distribution according to the segment involved was as follows: 73.4% (n = 1,327) were femur fractures, 13.5% (n = 244) tibial plateau fractures, and 13.2% (n = 238) patellar fractures. 66.8% (n = 1,209) of patients had a long hospital stay (more than 10 days). According to the anatomical location of fractures, transtrochanteric fractures (49.1%) were the most frequent ones, followed by patellar fractures (13.2%), and femur shaft fractures (12.7%). Conclusions: The prevalence of lower limb fractures at our hospital corresponds to what has been reported internationally.


Key words: hip, femur, knee, joint, fracture, statistics.


REFERENCES

  1. Cooper A: A treatise on dislocations and on fractures of the joints: fractures of the neck of the thigh bone. Clin Orthop. 1973; 92: 3-5.

  2. Muñoz O, García-Peña C, Durán L (Eds): La Salud del Adulto Mayor. Temas y Debates. México: Centro Interamericano de Estudios de Seguridad Social/Instituto Mexicano del Seguro Social; 2004.

  3. Wong R, Espinoza M, Palloni A: Adultos mayores mexicanos en contexto socioeconómico amplio: salud y envejecimiento. Salud Pública Mex. 2007; 49(Suppl4): S436-47.

  4. Sánchez-González D: Envejecimiento demográfico urbano y sus repercusiones socio-espaciales en México. Retos de planeación gerontológica. Rev Geografía Norte Grande. 2007; (38): 45-61.

  5. Melton LJ 3rd, Chrischilles EA, Cooper C, Lane AW, Riggs BL: Perspective. How many women have osteoporosis? J Bone Miner Res. 1992; 7: 1005-10.

  6. Cooper C, Campion G, Melton LJ 3rd: Hip fractures in the elderly: a worldwide projection. Osteoporos Int. 1992; 2: 285-9.

  7. Miller SW, Evans JG: Fractures of the distal forearm in Newcastle: an epidemiological survey. Age Ageing. 1985; 14: 155-8.

  8. Härmä M, Heliövaara M, Aromaa A, Knekt P: Thoracic spine compression fractures in Finland. Clin Orthop. 1986; 205: 188-94.

  9. Martinez-Rondanelli A: Fractura de cadera en ancianos: pronósticos, epidemiología. Aspectos generales. Experiencia. Rev Col De Or Tra. 2005; 19(1): 20-8.

  10. Boyce WJ, Vessey MP: Rising incidence of fracture of the proximal femur. Lancet. 1985; 1: 150-1.

  11. Singer BR, McLauchlan GJ, Robinson CM, Christie J: Epidemiology of fractures in 15 000 adults: the influence of age and gender. J Bone Joint Surg Br. 1998; 80: 243-8.

  12. Oviedo S: Epidemiology of fractures in Chile. Bone. 2001; 3: 297-8.

  13. Consejo Nacional de Población (CONAPO). El envejecimiento de la población en México. México: CONAPO; 2005.

  14. Censo de Población y Vivienda 2010 (INEGI). Revisado el día 27 de Enero 2015. En: http://www.inegi.org.mx/est/contenidos/proyectos/ccpv/cpv2010/.

  15. Orces CH: Epidemiology of hip fractures in Ecuador. Rev Panam Salud Pública. 2009; 25(5): 438-42.

  16. Wolinsky PR, Jonhson KD: Ipsilateral femoral neck and shaft fractures. Clin Orthop Relat Res. 1995; 318: 81-90.

  17. Bollen S: Epidemiology of knee injuries: diagnosis and triage. Br J Sports Med. 2000; 34(3): 227-8.

  18. Varaona JM: Historia de la osteosíntesis. Rev Asoc Argent Ortop Traumatol [online]. 2010; 75(3): 226-226. ISSN 1852-7434.

  19. Zettas JP, Zettas P: Ipsilateral fractures of the femoral neck and shaft. Clin Orthop Relat Res. 1981; 160: 63-73.

  20. Wiss DA, Sima W, Brien WW: Ipsilateral fractures of the femoral neck and shaft. J Orthop Trauma. 1992; 6: 159-66.

  21. Peljovich AE, Patterson BM: Ipsilateral femoral neck and shaft fractures. J Acad Orthop Surg. 1998; 6: 106-13.

  22. Sancho RCA, Arguedas CHC: Epidemiology of hip fracture of osteoporosis origin in Costa Rica during a five-year period. Revista Española de Enfermedades Metabólicas Óseas. 2000; 9(2): 66-9.

  23. Jaatinen PT, Panula J, Aarnio P, Kievelä SL: Incidence of hip fractures among the elderly in Satakunta, Finland. Scand J Surg. 2007; 96: 256-60.

  24. Salminen ST, Pihlajamäki HK, Avikainen VJ, Böstman OM: Population based epidemiologic and morphologic study of femoral shaft fractures. Clin Orthop Relat Res. 2000; 372: 241-9.

  25. Starr AJ, Bucholz RW: Fracturas de la diáfisis del fémur. En: Rockwood y Green’s (eds). Fracturas en el adulto. Marbán Libros Madrid 2003; 3: 1683-730.

  26. Schatzker J, McBroom R, Bruce D: The tibial plateau fracture. The Toronto Experience 1968-1975. Clin Orthop Relat Res. 1979; 138: 94-104.

  27. Uribe RA, Castaño HDA, García OAN, Pardo AEE: Morbilidad y mortalidad en pacientes mayores de 60 años con fractura de cadera en el Hospital Universitario San Vicente Fundación, de Medellín, Colombia. Iatreia. 2012; 25(4): 305-13.